Individual
DR. MATTHEW BEN JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
119 CIMARRON PARK LOOP, C, BUDA, TX 78610-2839
(512) 295-7600
(512) 295-7633
Mailing address
119 CIMARRON PARK LOOP, C, BUDA, TX 78610-2839
(512) 295-7600
(512) 295-7633
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
22481
TX
Other
Enumeration date
08/17/2007
Last updated
07/14/2009
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